Patterns and Perceptions of Self-Management for Osteoarthritis Pain in African American Older Adults.
Objective To explore and describe older African Americans' patterns and perceptions of managing chronic osteoarthritis pain. Methods A convergent parallel mixed-methods design incorporating cross-sectional surveys and individual, semistructured interviews. Setting One hundred ten African Americans (...
| Publicado en: | Pain Medicine Vol. 20; no. 8; pp. 1489 - 1500 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Aug2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=138057710&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 138057710 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15262375 FRX jtl: Pain Medicine issn: 15262375 maglogo: N pubinfo: dt: Aug2019 vid: 20 iid: 8 pid: 10398 pub: Oxford University Press / USA artinfo: ui: 138057710 138057710 138057710 10.1093/pm/pny260 138057710 ppf: 1489 ppct: 11 formats: tig: atl: Patterns and Perceptions of Self-Management for Osteoarthritis Pain in African American Older Adults. aug: au: Booker, Staja Herr, Keela Tripp-Reimer, Toni affil: Pain Research and Intervention Center of Excellence, The University of Florida, Gainesville, Florida sug: subj: Osteoarthritis Therapy Chronic Pain Therapy Pain Management Methods Self-Management Methods Self-Management Psychosocial Factors African Americans Psychosocial Factors Human Aged Perception Cross Sectional Studies Surveys Semi-Structured Interview Middle Age Aged, 80 and Over Osteoarthritis Diagnosis Louisiana Severity of Illness Educational Status Health Literacy Drugs, Non-Prescription Hyperthermia, Induced Methods Therapeutic Exercise Methods Spiritual Healing Analgesics, Opioid Drugs, Prescription Foot Orthoses Injections, Intraarticular Relaxation Massage Methods Vitamins Therapeutic Use Quantitative Studies Qualitative Studies Aged: 65+ years Middle Aged: 45-64 years Aged, 80 & over ab: Objective To explore and describe older African Americans' patterns and perceptions of managing chronic osteoarthritis pain. Methods A convergent parallel mixed-methods design incorporating cross-sectional surveys and individual, semistructured interviews. Setting One hundred ten African Americans (≥50 years of age) with clinical osteoarthritis (OA) or provider-diagnosed OA from communities in northern Louisiana were enrolled. Results Although frequency varied depending on the severity of pain, older African Americans actively used an average of seven to eight self-management strategies over the course of a month to control pain. The average number of self-management strategies between high and low education and literacy groups was not statistically different, but higher-educated adults used approximately one additional strategy than those with high school or less. To achieve pain relief, African Americans relied on 10 self-management strategies that were inexpensive, easy to use and access, and generally perceived as helpful: over-the-counter (OTC) topicals, thermal modalities, land-based exercise, spiritual activities, OTC and prescribed analgesics, orthotic and assistive devices, joint injections, rest, and massage and vitamins. Conclusions This is one of the first studies to quantitatively and qualitatively investigate the self-management of chronic OA pain in an older African American population that happened to be a predominantly higher-educated and health-literate sample. Findings indicate that Southern-dwelling African Americans are highly engaged in a range of different self-management strategies, many of which are self-initiated. Although still an important component of chronic pain self-management, spirituality was used by less than half of African Americans, but use of oral nonsteroidal anti-inflammatory drugs and opioids was relatively high. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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